Online Forms

Diegel Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Forms - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please download and print the following forms.  Complete the forms and bring the completed forms with you to your appointment.

New Patient Paperwork




Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

2:00 pm-7:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

Closed

Friday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Saturday:

Appointment Only

Sunday:

Closed

Testimonial

Reviews By Our Satisfied Patients

  • "The result after several weeks was great! I had feeling in my left shin and could walk nearly a mile, and shop Target and Walmart and walk back to my car in the parking lot without back pain or leg numbness."
    Sylvia S. Shelby Township, MI